The? Analysis of regulatory effects of? Health literacy between the burden of symptoms and disease uncertainty in patients with chronic heart failure?? Xue Qin dan, Chen Jie ru, Hu Bin mei, Wang Jin yu ,Chen Xiu qing

DOI: 10.12201/bmr.202407.00062

•  

  Abstract: 【】 Objective Analyze the relationship between symptom burden and disease uncertainty in patients with chronic heart failure, and verify the moderating effect of health literacy on the relationship between symptom burden and disease uncertainty. Methods A convenient sampling method was used to select 234 patients with chronic heart failure who were hospitalized in the Cardiovascular Department of a tertiary A general hospital in Wenzhou from April , 2021 to April , 2022. The Chinese version of the Memorial Heart Failure Symptom Assessment Scale, The Chronic Disease Patient Health Literacy Scale,and Mishels Adult Disease Uncertainty Scale were used for questionnaire surveys. Results The symptom burden of patients with chronic heart failure is positively correlated with disease uncertainty (r=0.497,P＜0.01), and negatively correlated with health literacy(r=-0.252 ,P＜0.01), health literacy is negatively correlated with disease uncertainty (r=-0.593 ,P＜0.01). Analysis of moderating effects shows that health literacy has a moderating effect on the relationship between symptom burden and disease uncertainty in patients with chronic heart failure(β=-0.258,P<0.05) .Conclusion The symptom burden of patients with chronic heart failure can affect the level of disease uncertainty and be regulated by health literacy, Nursing staff should pay attention to the impact of symptom burden on disease uncertainty in patients with chronic heart failure, and develop intervention measures to reduce symptom burden combined with improving health literacy, which can reduce their level of disease uncertainty

  Key words: Chronic Heart Failure；Symptom Burden；Illness Uncertainty； Health literacy；regulatory effects

  Submit time: 28 July 2024

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
• html

• 图表

• wang qiqi, pei lianxue, li junqi, li yukun, long xiaojuan, xiang xianglong, zhou maigeng, yu shicheng. Construction and Application of Integrated Platform for Burden of Chronic Disease Study and Decision-Making Support. 2021. doi: 10.12201/bmr.202106.00013

  Zhu Zhipeng, Chen Yijin. Research on the moderating effect of health information avoidance between health anxiety and health promotion behaviors. 2022. doi: 10.12201/bmr.202206.00004

  guojing, xuyishan, chenshilu, zhulin. A study on the impact of Internet use on loneliness in the elderly: The moderating role of age. 2021. doi: 10.12201/bmr.202107.00023

  dujian. Approaches on measuring the uncertainty of medical knowledge. 2022. doi: 10.12201/bmr.202202.00001

  heyanping, zhangxiaodan, yaoqiang. The health effect and mechanism of family doctor contract service: Evidence from 1 191 rural residents with chronic disease in 12 counties of 6 provinces. 2024. doi: 10.12201/bmr.202409.00051

  houyanjie, wangyu, yanshiyuan, zhangwenjing, zhanglin, yaojun. Effects of Long-term Care Insurance on Medical Service Utilization, Medical Burden and Health of Middle-aged and Elderly People：An empirical research based on DID. 2021. doi: 10.12201/bmr.202107.00029

  Chen Yuan, Chen Shiqi, Zhang Rongxiang, Zhu Chenyang. Meta-analysis of the effects of ERAS in the perioperative period in patients with heart valve disease. 2024. doi: 10.12201/bmr.202410.00008

  xiang cong, gao xiaolian, xiong qianfen, Wang heqing, luo yanling, zhu xinhong, Tao junxiu. Research on characteristics of chronic disease health management informatization based on content analysis. 2024. doi: 10.12201/bmr.202408.00058

  zhangchu, wangyihuan. Study on chronic diseases and catastrophic health expenditure risk： based on 2018 CHARLS data. 2021. doi: 10.12201/bmr.202102.00009

  The current status of self-regulated fatigue in patients with recurrent ovarian cancer and its correlation with perceived burden and social supportTao Xinhui,Yu Juancai, Lin Lina. 2024. doi: 10.12201/bmr.202406.00033

• ID	Submit time	Number	Download
  1	2024-06-21	bmr.202407.00062V1	Download

• Public  Anonymous  To author only Submit Comments